The COVID-19 crisis has had an unprecedented impact on resident education and well-being: social distancing guidelines have limited patient volumes and forced virtual learning, while personal protective equipment (PPE) shortages, school/daycare closures, and visa restrictions have served as additional stressors. Our study aimed to analyze the effects of COVID-19 crisisrelated stressors on residents' professional and personal lives. In April 2020, we administered a survey to residents at a large academic hospital system in order to assess the impact of the pandemic on residency training after >6 weeks of a modified schedule. The primary outcome was to determine which factors or resident characteristics were related to stress during the pandemic. Our secondary goals were to examine which resident characteristics were related to survey responses. Data were analyzed with regression analyses. Ninety-six of 205 residents completed the survey (47% response rate). For our primary outcome, anxiety about PPE (P < 0.001), female gender (P = 0.03), and the interaction between female gender and anxiety about PPE (P = 0.04) were significantly related to increased stress during the COVID-19 pandemic. Secondary analyses suggested that medicine residents were more comfortable than surgical residents using telemedicine (P > 0.001). Additionally, compared to juniors, seniors believed that the pandemic was more disruptive, modified schedules were effective, and virtual meetings were less effective while virtual lectures were more effective (all P ≤ 0.05) Furthermore, the pandemic experience has allowed seniors in particular to feel more confident to lead in future health crises (P ≤ 0.05). Medicine and surgery residency programs should be cognizant of and closely monitor the effects of COVID-19 crisis-related factors on residents' stress and anxiety levels. Transparent communication, telemedicine, online lectures/meetings, procedure simulations, advocacy groups, and wellness resources may help to mitigate some of the challenges posed by the pandemic.
Data clustering is one of the most popular techniques in data mining. It is a method of grouping data into clusters, in which each cluster must have data of great similarity and high dissimilarity with other cluster data. The most popular clustering algorithm K-mean and other classical algorithms suffer from disadvantages of initial centroid selection, local optima, low convergence rate problem etc. Particle Swarm Optimization (PSO) is a population based globalized search algorithm that mimics the capability (cognitive and social behavior) of swarms. PSO produces better results in complicated and multi-peak problems.
Postemergence herbicide options for mature goosegrass [Eleusine indica (L.) Gaertn.] control in bermudagrass (Cynodon spp. Rich.) turf are lacking. Greenhouse and field trials were conducted to determine the lowest rate at which topramezone, with or without triclopyr, controls goosegrass while maintaining acceptable bermudagrass quality. Greenhouse dose–response studies determined herbicide rates for field trials. In field trials, topramezone at 6.13 to 12.3 g a.i. ha−1 applied twice at a 3‐wk interval eliminated 8‐ to 18‐tiller goosegrass at three of four locations. The same topramezone treatments did not reduce smooth crabgrass [Digitaria ischaemum (Schreb.) Schreb. ex Muhl.] cover more than 53% when applied alone and not more than 84% when applied with triclopyr at 140 g acid equivalent ha−1. The number of days over a threshold of 30% injury or stunting (DOT30) within the 28‐d period following each of two herbicide treatments was calculated for 31 bermudagrass varieties. Bermudagrass injury DOT30 following the first treatment ranged from 11.1 to 17.8 d, depending on variety. The addition of triclopyr increased injury DOT30 but reduced the severity of discoloration by eliminating white tissue discoloration. All varieties were severely injured but completely or near completely recovered by 28 d after each treatment. Generally, topramezone at 6.13 or 12.3 g a.i. ha−1 applied twice controls goosegrass in bermudagrass. Addition of triclopyr improves smooth crabgrass control and decreases severity of bermudagrass injury but increases suprathreshold‐injury duration.
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